29806

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upper saddle river,nj
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I know this maybe a dumb question but i need to know. My provider did an arthroscope on a patient but the he wants to bill 2 units (not bilateral). I'm reading the procedure code description i don't see where this can be billed this way since we only have 2 shoulders and one part to each. Any advice would help

mary winfield,cpc
 

cpccpma

Networker
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Denver
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My question would be why does he want to bill 2 units? Is he thinking he did more work than usual?
 
Messages
113
Location
upper saddle river,nj
Best answers
0
my question would be why does he want to bill 2 units? Is he thinking he did more work than usual?

yes he does in this case my best answer to him would be to add the -22 modifier with the op report and the 50% fee increase to show it was more work. I've looked at this code and the way it reads you can't bill it by with 2 units only bilaterally. Am i understanding this correctly?

Mary winfield, cpc
 

dclark7

True Blue
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723
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Hartford, CT
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Yes you are understanding this correctly. If you physician feels he did more work than usual he should use the 22 modifier.
 
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